Journal article
The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis
Journal of pediatric surgery, Vol.57(3), pp.356-359
03/2022
DOI: 10.1016/j.jpedsurg.2021.04.011
PMID: 34020775
Abstract
: Infants with gastroschisis require prolonged hospitalization for surgical repair and gradual advancement of feeds. The present study explores the effect of a change in a protocolized enteral feeding regimen with length of hospital stay (LOS) and total costs in newborns with gastroschisis.
: A retrospective review was performed in neonates with uncomplicated gastroschisis at a free-standing pediatric institution from 2012 to 2020. The effect of two different enteral feed advancement protocols on clinical outcomes and hospital costs was analyzed.
: Seventy-four patients were identified, of which 50 (68%) underwent 10 ml/kg/day feeding advancements, and 24 (32%) underwent 20 ml/kg/day feeding advancements. Compared to neonates who underwent 10 ml/kg/day enteral advancements, neonates receiving 20 ml/kg/day advancements reached goal feeds faster (14 vs 20 days, p<0.001), were younger at goal feeds (26 vs 34 days, p = 0.001), required fewer days of parenteral nutrition (22 vs 29 days, p = 0.001), and had shorter LOS (30 vs 36 days, p = 0.001). On multivariable analysis, total costs decreased by 9.77% in the 20 ml/kg/day advancement cohort (p = 0.071).
: In neonates with uncomplicated gastroschisis who underwent primary repair, a nutritional protocol that incorporated 20 ml/kg/day feeding advancements was safe and resulted in faster attainment of goal feeds and shorter LOS.
: II/III.
Details
- Title: Subtitle
- The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis
- Creators
- Alan F. Utria - Seattle Children's HospitalMelissa Wong - University of WashingtonAnna Faino - Seattle Children’s Research Institute, Seattle, WA 98101, USAElizabeth Jacobson - Seattle Children's HospitalPatrick J. Javid - Seattle Children's Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of pediatric surgery, Vol.57(3), pp.356-359
- DOI
- 10.1016/j.jpedsurg.2021.04.011
- PMID
- 34020775
- NLM abbreviation
- J Pediatr Surg
- ISSN
- 0022-3468
- eISSN
- 1531-5037
- Publisher
- Elsevier Inc
- Number of pages
- 4
- Language
- English
- Date published
- 03/2022
- Academic Unit
- Surgery
- Record Identifier
- 9985014846902771
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